Urinalysis with reflex to sediment

Message

Performed in the Hematology Laboratory, x5475, 76.
Sediment reflexively performed if any test result in the UA is abnormal. See below
under "includes" for those tests.

Test Code

CPT Codes
81003

Includes

Evaluation of urine color, clarity, Specific Gravity, glucose, bilirubin, ketones, blood, pH, protein, Urobilinogen, nitrite, and
leukocyte esterase. A sediment will be reflexed and performed if any of the following are positive/abnormal: clarity, blood, protein, nitrite or leukocyte esterase.

Preferred Specimen

First voided, clean catch urine

Minimum Volume

2 mL

Instructions

Refrigerate if not immediately sent to the Hematology laboratory.

Transport Container

Plastic, Leakproof Container with screw cap.

Transport Temperature

Room Temperature

Specimen Stability

Room Temperature: stable for 1 hour
Refrigerated: 6 hours

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

QNS, too old for testing (>6 hours old)

Methodology
Enzymatic chemical reaction and refractometry

Setup Schedule

24/7

Limitations

Samples not refrigerated if testing is delayed may have false positve nitrite and changes in pH due to bacterial growth (contamination)

Reference Range

Specific Gravity 1.000-1.035
PH 4.8-8.0
Color: yellow or amber
Clarity: Clear
Protein, Glucose, Ketones, Bilirubin, Blood, Nitrite,Leukocyte Esterase: negative
Urobilinogen: 0.2-1.0 E.U./dL
Bacteria: negative
Hyaline Casts:0-3/ LPF
Crystals: negative
RBC:0-5/HPF
WBC:0-5/HPF

Clinical Significance

Assessment infection and various disease states of the kidneys/urinary tract.

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.